CHILDREN'S AUTISM CENTER, INC (NPI# 1215105663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215105663 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S AUTISM CENTER, INC |
| Practice Address |
6208 Constitution Dr Ste A Fort Wayne IN 46804-1585 |
| Practice Telephone | 2604596040 |
| Practice Fax Number | 2604596010 |
| Mailing Telephone | 2604596040 |
| Mailing Fax Number | 2604596010 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | MS. JILL DIANE FORTE (BOARD PRESIDENT) |
| Authorized Official Telephone | 2604596040 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
6208 CONSTITUTION DR STE A |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141957 | Helping Hands Center for Special Needs | Clinic/Center | 405 W Wayne St, Fort Wayne, IN 46802-2121 | 2011-01-12 |
| 1093938102 | Interdisciplinary Diagnostic and Evaluation Center, Inc. | Clinic/Center | 3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674579 | Karen Ashley | Clinic/Center | 2616 French Creek Dr, New Albany, IN 47150-9111 | 2020-09-16 |
| 1811428501 | Anchored Care Residential Services LLC | Clinic/Center | 1800 N Meridian St Ste 401, Indianapolis, IN 46202-1433 | 2017-03-23 |
| 1467812370 | Reach Services, Inc. | Clinic/Center | 1400 Hulman St, Terre Haute, IN 47802-2536 | 2016-03-04 |
| 1114285855 | Bierman Aba Inc. | Clinic/Center | 1025 E 54th St, Indianapolis, IN 46220-3219 | 2012-05-01 |
| 1295030666 | Lise D Delong | Clinic/Center | 1678 Fry Rd Ste C, Greenwood, IN 46142-1176 | 2011-01-17 |
| 1881826584 | Z and Z Inc. LLC | Clinic/Center | 13295 Illinois St Ste 106, Carmel, IN 46032-3020 | 2009-08-13 |
| 1467924324 | Journeys Behavior Learning Center LLC | Clinic/Center | 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 | 2018-12-17 |
| 1659842490 | South Bend Behavioral Health LLC | Clinic/Center | 701 N Niles Ave, South Bend, IN 46617-1923 | 2018-12-05 |
| 1669967428 | Embracing Abilities Inc | Clinic/Center | 1182 Scarlet Quarry Cir, Avon, IN 46123-9372 | 2018-06-25 |
| 1053722637 | Cornerstone Support Services, LLC | Clinic/Center | 6214 Morenci Trl, Suite 100, Indianapolis, IN 46268-2574 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.